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Prescription Pads

Prescription Pads

Online Ordering – Prescription Pads

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1 +-
Single-Part Standard-Size Pads   (1PS1)
Exceeds California Board of Pharmacy & SB151 security requirements.
100 Security forms per pad.
Add up to nine prescribers or locations in the imprint area at top of form.
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Description: Exceeds California Board of Pharmacy & SB151 security requirements.
100 Security forms per pad.
Add up to nine prescribers or locations in the imprint area at top of form.
Size: 4
Paper: Rx Security Script
Ink: Blue & Black
Form ID: 1PS1
2 +-
Two-Part Standard-Size Pads   (2PS2)
50 Security forms per pad. Size of pad: 4" x 5" Exceeds California Board of Pharmacy & SB151 security requirements. Add up to nine prescribers and/or locations in the imprint area at top of form. Refer to the price list for current pricing and ordering increments.
Start your order
Click Image to Enlarge
Description: 50 Security forms per pad. Size of pad: 4" x 5" Exceeds California Board of Pharmacy & SB151 security requirements. Add up to nine prescribers and/or locations in the imprint area at top of form. Refer to the price list for current pricing and ordering increments.
Size: 4 x 5
Paper: Rx Security
Ink: Blue & Black
Form ID: 2PS2
3 +-
Single-Part Large Size Pads   (PL1)
100 Security forms per pad. Size of pad: 5" x 7" Exceeds California Board of Pharmacy & SB151 security requirements. Use this style when prescribing multiple drugs (up to three per scrip). Add up to nine prescribers and/or locations in the imprint area at top of form. Refer to the price list for current pricing and ordering increments.
Start your order
Click Image to Enlarge
Description: 100 Security forms per pad. Size of pad: 5" x 7" Exceeds California Board of Pharmacy & SB151 security requirements. Use this style when prescribing multiple drugs (up to three per scrip). Add up to nine prescribers and/or locations in the imprint area at top of form. Refer to the price list for current pricing and ordering increments.
Size: 5 x 7
Paper: Rx Security
Ink: Blue & Black
Form ID: PL1
4 +-
Two-Part Large-Size Pads   (PL2)
50 Security forms per pad. Size of pad: 5" x 7" Exceeds California Board of Pharmacy & SB151 security requirements. Use this style when prescribing multiple drugs (up to three per scrip). Add up to nine prescribers and/or locations in the imprint area at top of form. Refer to the price list for current pricing and ordering increments.
Start your order
Click Image to Enlarge
Description: 50 Security forms per pad. Size of pad: 5" x 7" Exceeds California Board of Pharmacy & SB151 security requirements. Use this style when prescribing multiple drugs (up to three per scrip). Add up to nine prescribers and/or locations in the imprint area at top of form. Refer to the price list for current pricing and ordering increments.
Size: 5 x 7
Paper: Rx Security
Ink: Blue & Black
Form ID: PL2
5 +-
Laser & Ink Jet Compatible Forms   (PLF)
Large Size scripts (5" x 7") on an 8-1/2" x 11" carrier. Exceeds California Board of Pharmacy & SB151 security requirements. Add up to nine prescribers and/or locations in the imprint area at top of form. Refer to the price list for current pricing and ordering increments.

Start your order
Click Image to Enlarge
Description: Large Size scripts (5" x 7") on an 8-1/2" x 11" carrier. Exceeds California Board of Pharmacy & SB151 security requirements. Add up to nine prescribers and/or locations in the imprint area at top of form. Refer to the price list for current pricing and ordering increments.
Size: 8-1/2 x 11
Paper: Rx Security
Ink: Blue & Black
Form ID: PLF